Interview Sheet Sample
| Interview sheet | |||||
|---|---|---|---|---|---|
| Customer name | MR/MS | Registration number | Initial year registration | ||
| Vehicle type | VIN | ||||
| Storage date | Engine | Mileage | km/Mile | ||
| Symptom | □ Does not operate (______) function | ||||
| □ Warning lamp for (______) turns ON | |||||
| □ Noise□ Vibration | |||||
| □ Other (______) |
|||||
| First occurrence | □ Recently □ Other (______) | ||||
| Frequency of occurrence | □ Always □ Under a certain conditions of □ Sometimes (time/day) | ||||
| Climate conditions | □ Irrelevant | ||||
| Weather | □ Fine □ Cloud □ Rain □ Snow □ Others (______) | ||||
| Temperature | □ Hot □ Warm □ Cool □ Cold □ Temp. [Approx. °C (°F)] | ||||
| Relative humidity | □ High □ Moderate □ Low | ||||
| Road conditions | □ Urban area □ Suburb area □ Highway □ Mountainous road (uphill or downhill) □ Rough road |
||||
| Operating condition, etc. | □ Irrelevant □ When engine starts □ During idling □ During driving □ During acceleration □ At constant speed driving □ During deceleration □ During cornering (right curve or left curve) □ When steering wheel is steered (to right or to left) |
||||
| Memo | |||||